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Agency Partnering

Thank you for your interest in becoming an agency partner with the Food Bank of Lincoln. Please note that this is an application process, and submission does not guarantee approval. Our team will carefully review applications on a quarterly basis and will reach out to you once your application has been reviewed. If you have any questions or need further assistance, please contact our Network Capacity Manager, Sylvie Bonilla, at sylvie@lincolnfoodbank.org or (402) 466-8170, ext. 1987.

Membership Application Process

1. Agencies must complete a written Membership Application form available at the Food Bank, which the agency’s legal agent must sign.

2. New agencies must also submit their 501(c)(3) form, or if the agency is a Church, they must submit their Church/Religious Organization Self Certification form.

3. Agencies must have clean, dry, secure storage and food preparation facilities. Meal provider agencies must have a Food Handlers Permit. Pantries must have Food Bank safety training and a willingness to adhere to additional donor requests.

4. The Food Bank reviews applications and reserves the right to approve or/deny any application.

5. After these conditions are met, a site visit is performed by Food Bank staff (at the location where food is stored and records maintained).

6. Once approved for membership, new agency programs are set up with a $400.00 spending credit limit on handling fees. This amount may be adjusted after the first six months of membership.

7. New agencies have a six month probationary period, after which they will be reviewed to determine whether they will be granted full member status.

Please read the 2023/2024 Partnership Terms and Conditions Agreement

Agency Membership Application

I certify that I have read and understand the Partnership Terms and Conditions Agreement(Required)

If no, please read the agreement before completing this form

Agency Contact Information:

Name of Agency(Required)

County(Required)

Full Address(Required)

Street Address City State ZIP Code

Agency Days and Hours of Operations

Parent Organization (if different)

Legal Agent's Name

Director's Name(Required)

Director's Phone(Required)

Administrative Mailling Address(Required)

Agency Contact (if different than Director)(Required)

Agency Contact's Phone(Required)

Email Address

Website or Webpage

Tell Us About Your Agency:

Services provided(Required)

Describe the diversity within the population you serve(Required)

What roles do diversity, equity, inclusion, and belonging play in your agency?(Required)

How long have you been in operation?(Required)

Approximately, how many UNDUPLICATED individuals do you serve monthly?(Required)

Approximately, how many UNDUPLICATED families do you serve monthly?(Required)

Approximately, what percentage of your clients are low Income?(Required)

Approximately, what percentage of your clients are seniors/older than 65 years of age?(Required)

Approximately, what percentage of your clients are infants/children under 18?(Required)

Approximately, what percentage of your clients are marginalized population?(Required)

Do your clients pay for the service(s) you offer?(Required)

If applicable, explain what fee(s) cover, describe sliding scale, etc.

Currently, where do you currently get your food?(Required)

Purchased

Donated

Food Net

Other

How is your agency funded?(Required)

Describe the following types of storage you have:(Required)

Freezer space, Refrigerator space, or Dry Storage space (cupboards, pantry, etc.)

Complete Section A or B Below as Applicable

A. Meal providers (soup kitchens, residential facilities, etc.)

Hours of operation(Required)

Check appropriate boxes:(Required)

Do you provide food for on-site consumption?

Do you provide home-delivered meals?

If yes to either, how often?

Number served for breakfast?(Required)

Number served for dinner?(Required)

Number served for snacks?(Required)

B. Pantry Facilities

Do you have a client choice pantry? (Client choice is where clients can choose the food they receive.)(Required)

Do you pack boxes for individual families or another distribution agency?(Required)

How often do you distribute emergency pantry boxes?(Required)

Approximate number of individuals served monthly(Required)

Approximate number of boxes distributed monthly(Required)

Commitment: Please initial

We agree to abide by any expressed guidelines, conditions, or special restrictions attached to the disbursement of products obtained through the Food Bank of Lincoln.

Please initial

We agree to release the Food Bank of Lincoln and any donor from any liability resulting from the condition of products received through the Food Bank of Lincoln.

Please initial

We agree to allow the Food Bank SNAP Team to conduct outreach or provide information at our agency.

Please initial

We agree to participate in Food Bank specific requests such as monthly data tracking, Hunger in America Studies, etc.

Please initial

Legal Agent's Name(Required)

Please print

Legal Agent's Signature(Required)

Max. file size: 300 MB.

Date(Required)